The attitude, knowledge, and behavior of family physicians about childhood asthma in Sakarya province.

Abstract

Aim: This study aimed to determine the knowledge, attitude, and behavior of family physicians working in family health centers in Sakarya province related to childhood asthma.

Material and methods: One hundred seventy-two physicians participated in this study, which was conducted as a survey. The questionnaire included 46 questions that measured the attitude and behavior, sociodemographic characteristics, professional practices, theoretical/clinical knowledge of the family physicians.

Results: A total of 172 physicians including 144 certificated general practitioners, 7 family medicine specialists, and 21 contracted family medicine residents were enrolled in the study. Less than half (44.2%) of the participants agreed that family physicians could make a diagnosis of asthma, 61.6% agreed that family physicians could follow up and maintain treatment, and 86% agreed that family physicians could give treatment in cases of mild asthma attack. Some 44.6% of the physicians stated that they always/frequently referred patients with asthma, 92% stated that they always/frequently interrogated if the disease was under control, and 79.7% stated that they always/frequently reminded their patients about triggers and the use of inhaler drugs. The mean number of correct answers was 6.23±1.56 for 10 theoretical questions and 10.33±1.90 for 16 clinical questions. It was observed that age, sex, district of work place, time since graduation, represantative visits, and the frequency of prescriptions were the charcatristics of family physicians that caused significant changes in attitute and behavior. Being a specialist or residents, working in a central district, and absence of poster/brochure in family health center were found to be factors that affected success in questions related to clinical cases. It was observed that general practitioner family physicians interrogated the control status more frequently than specialists and residents, reminded their patients with asthma about triggers and inhaler drug use with a higher rate and exhibited a positive attitude in terms of giving treatment for asthma attacks.

Conclusion: In this study, a deficiency was observed in terms of basic information related to asthma and in terms of practical applications. It was observed that family physicians' attitudes about asthma did not always coincided with their behaviors. No significant correlation was found when the relations of attitude, behavior, and knowledge level were evaluated between themselves.